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Alaska rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.49 / $423.49 / $423.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.22 / $331.99 / $700.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.28 / $123.28 / $605.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.42 / $98.42 / $140.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.49 / $580.17 / $605.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.42 / $325.01 / $700.00